SP, Complication of Chronic Sinusitis Infection

8/3/2019 SP, Complication of Chronic Sinusitis Infection

1/19

%083:808,70,.4330.90/889024144.,;9083908:%0,708983:8.,;908,70,74:3/

,33.,.748849078,702:.82,07%083:8.,;9083.:/0

W%02,,783:80890,7089390.00-4308

W%017439,83:8083904.03907419014700,/

W%00924/83:808-0900390008,9903,8,-7/0

W%085034/83:8083-4308-03/903,8,.,;9

%083:808,7030/9841953988:0.,0/2:.48,472,9083:808,7002590.059147,

93,07412:.:8

%038/041903480,87/08.,0/9:7-3,908472,9080897:.9:70805:2/1,3/1907,7

%034808/;/0/390.03907-,93,.,0/908059:2489419083:808/7,3394903480

974:,82,.,33047/7,3,05,9,.,0/902//020,9:8

310.943418:774:3/3897:.9:708

%8 8 :3.42243 .425.,943 41 83:898 3 310.943 9,9 0903/8 94 90 00 .,3 .,:80 ;843

.,308310.943419000988:047-9,.0:98,.40.943415:83900084.098:-5074890,

47 47-9, ,-8.088 47 0903/ 2470 54890747 ,3/ .,:80 ,3 310.943 ,3/ .4993 41 -44/ ;08808

.,;0734:883:89742-488310.9432,8570,/974:908:943;4;090-7,3,3/853,1:/

..,3708:9320339847,-7,3,-8.088310.943.,30903/9490:3/073-430,3/.,:80

489042098310.943419083:808.,3,848570,/94904;07383,3/.,:80.0:98,3/47,3

,-8.088


2/19

/08570,/310.943

%02489/,3074:8.425.,9434183:8985,79.:,717439,,3/85034/83:8988908570,/41

310.943 - ,3,074-. -,.907, 94 90 -7,3 0907 974: 90 -4308 47 -44/ ;08808 -8.08808

203398,3/4907 10970,9033 .43/94382, 708:93 8:. .,808 90 5,90392, 050703.0

2/507843,9.,3080,/,.0,9070/.438.4:83088;8:,574-028,3/13,80:708.42,

,3//0,9

425.,943841:3,310.943390$3:808

743.,3/,.:901:3,83:898.,:80/-901:38507:8,3/2:.472.4888/11.:994970,9

,3/ 549039, 09, 5,79.:,7 3 50450 9 /,-0908 ,3/ .42574280/ 22:30 889028

:.472.488 8 5,79.:,7 /,3074:8 1 9 8 349 970,90/ 6:. :3, -, 2.0942, 8 349

3;,8;0,3/830,7,,8970,9,-098:707#0.:7703.087,70

892,

%070,94385-0900383:898,3/,892,8:3.0,73:2-0741904708,;0-0035745480/147,

.,:8,478,70/,884.,943-0900383:898,3/,892,$4203.:/0901443

$92:,94341307;05,9,8 31,22,943 ,3/4;07574/:.943412:.:8 390 3,8,5,88,08,3/

83:8.,;9082,0;039:,,110.990,7,8390:3.,:839029450770,.9

70,93974:9024:9039083:808,70-4.0/,483,705,79.089,94:/490780

-0 19070/-903,8,/01038088902$:.5,79.08.4:/ 9707,07.708543808390 :389,9

.,39707,892,38:8.059-050450

7 -70,90/ 974: 9024:9 8 .4/07 9,3,7,720/ 3 90 3,8, 5,88,084/ ,7 8 ,343

970741,892,

492,8,70 82,722:30,-3472,908 9,9 .,:80 31,22,9433 90,7,8 390 :38,3/

83:808

$:..0881:970,9203941-49,07.7398,3/.743.83:8983./7034,84,;0,892,2,

70/:.0825942841,892,985,79.:,725479,3994970,9,3.40893-,.907,83:898350450

9,892,%029349708543/94,892,970,920398:308890310.9438.0,70/:51789

110.9841743.$3:898

!,3,3/ 4907 8259428 41 .743. 83:898 .,3 ,;0 831.,39 0110.9843 90 6:,9 41 10 %8

.43/943.,3.,:80024943,/89708825,73472,,.9;9,3/70/:.0,9903/,3.0,947478.44

..47/39490207.,3.,/024107892,,3/22:34490,;07,083:8985,9039

28808,-4:914:747/,8,0,731,.9,89:/5,.0/83:89839094520/.,.43/9438

9,92489,/;0780,110.9207.,302540783,//9438420504502,4809078038041820

$:7074720/.,970,920398.,30570894709880380


3/19

[Z`WZ`_

-nff

f

nffffnff

,ff

9

9#9@%

9f

nf9fffnff

,ff

f

$:22,7

fnffnf

I

I

fn

f

f

f

$:22,7

ff,nn%

9f

9fffn

9%

J


4/19

Z`^SU^SZS[\US`[Z_

%00924/17439,,3/85034/83:808,70805,7,90/174290-7,3-43,93,0741

-4301310.94383:8985,8808974:9080-43089.,3310.9901:/,3/988:089,98:774:3/90-7,3708:933203398190310.94303907890-7,3988:09.,3.,:80,3

,-8.088 47 ,0/411 310.943 31,22,943 41 90 397,.7,3, -44/ ;08808 .,3 708:9 3

,-3472, .4993 9742-488 41 -44/ ;08808 38/0 90 8: %8 3 9:73 .,3 .,:80

-3/3088-7,380389740,3//0,9

7439,83:8984..:782489.422433,/408.039,3/4:3203.4770,93990920

4150, /0;0452039 ;,8.:,79 ,3/530:2,9,943 41 90 17439, 83:8 $9:/ 1742 90

87054790/ , 3./03.0 41 397,.7,3, .425.,943 ,2435,90398 ,/2990/ 94 90

4859, 147 17439, 83:898 #0,7/088 4 41903 9 4..:78 9070 .4393:08 94 -0 ,

831.,39/070041247-/9,3/2479,9,884.,90/9397,.7,3,.425.,94341,.:90

17439,83:8985,79.:,7190970,920398/0,0/

[\US`[Z[X^[Z`SZa_`_

03398

5/:7,-8.088$:-/:7,2502,

7,3-8.088

397,.7,3,-8.0888:-/:7,,3/05/:7,,-8.088

,;0734:8$3:8%742-488

7439,-4308904209809.

YZSZV\`[_

%5.,5708039,94341$.425.,9434117439,83:898.,7,.90708- .:90475747088;00,/,.0 0;07

%0574.0882,-08039:398074:830:744.,8259428,3/838/0;0458:.,8

4.,30:744.,/01.98 ,3032039,89,9:8


5/19

09,7 $0:70 42,

37,70.,80890702, -0489042098 4190 ,390747 17439, 83:8 9,-0.,:834;073

0/02,419014700,/470;03,507.7,3,,-8.088!4998!:11%:247

03398

03398 ,..4:398 147 41 , 397,.7,3, .425.,943 %0 8259428 41 203398

3.:/010;075747088;080;0700,/,.0 779,-98423403.0,3//07:2-:9,39-49.

970,920392,2,8490783,3/8259428

$38 4120330, 779,943 ,70 7:/38 83 1043 41 90 30. .,:808 1043 ,9 90

3008,3/07388390300.,3349-00903/0/09058100/

397,.7,3,-8.0888:-/:7,,3/05/:7,,-8.088

!488-0 .425.,943 41 0924/ 83:898 ,3/ 2470 .42243 90 708:9 41 17439, ,3/

85034/83:898%00924/,3/85034/85,.08/4349:8:,.,:808:-/:7,4705/:7,

,-8.088-0.,:80,/,.039 949080 83:808 90 -7,3 8 392,90,99,.0/ 9490 8: ,3/ 90

8:-/:7,,3/05/:7,85,.08,703495708039

,;0734:8$3:8%742-488

%889080.43/2489.42243397,.7,3,.425.,943410924/83:8989/0;0458;,

90 47-9 9 709747,/0 574708843 41 8059. 9742-450-98 3 90 ;,;0088 310747 ,3/

8:50747459,2.;038

%0 838 ,3/ 8259428 41 .,;0734:8 83:8 9742-488 0;4;0 ,..47/3 94 . 90

8:774:3/3897:.9:708,70,110.90/%0808382,-0.,90470/,..47/394901443

094408 ;034:8 4-897:.943 3;4;02039 41 ,/,.039 307;08 0307,0/ 80588 ,3/

203398%00,7825942841.,;0734:883:89742-488,700,/,.000/0/02,,3/

.02488!7459488549454-,,3//545,1448479!9488,3/5,7,88097,4.:,7

2:8.04..:7,8,.43806:03.041,/,.039307;03;4;02039

ZUSWS`a^W_SZVSYZ[_`UbSaS`[Z

03398

!,903998:850.90/397,.7,3,.425.,943 84:/:3/0747084:943

%9 ,3/94:9.4397,89,8572,7/,3489. 9089 1 00;,90/ 397,.7,3,57088:70 ,8

-0030.:/0/:2-,75:3.9:7084:/-050714720/9.944.,2.74-,,3/,-47,947


6/19

,3,884190.070-74853,1:/988 94/,3480203398%070,70842083884:/

-05708:20/94,;0203398:39574;03490780

!0788903910;07 $0;0700,/,.0 !49454-, 779,-9 9070/2039,89,9:8

%0:2-,75:3.9:70890248925479,3989:/3900;,:,94341203398

,3/70;0,800;,90/90-44/.08.4:3900;,90/574903,3//0.70,80/:.480%8.,3

4-9,30/ 94 7:0 4:9 397,.7,3, 0843 ,..425,30/ - 3.70,80/ 397,.7,3, 57088:708

4224347,382 3;4;0/ 3203398 473,93 1742 83:898 82,7 942.7447,382

.:9:70/ 1742 83:808 3,074- ,70 .42243 ,8 ,70 $ ,:70:8 $9,54.4.., 850.08 $

530:243,,3/31:03,

310.9433908:-/:7,85,.0,84/43490//,3489.:2-,75:3.9:708-:9

2, -0,884.,90/9 3.70,80/57088:7000;,90/5749039 3472,:.480,3/ ,.41

47,382 !:8 3 8:-/:7, 85,.0 ,84 570.59,908 ;,8.:98 ,3/ 8059. ;034:8 9742-488

31,22,947 0/02,,3/ ;034:84-897:.943903/8 94 0,/ 94,..0413.70,830/02,,3/

31,7.943.70,931,7/070041397,.7,3,5079038439,3902,880110.94102502,

$:-/:7,02502,:8:,57080399

3.70,830,/,.0 0;07 0;,90/90-44/.08.4:39 0330,838

3/903.70,803397,.7,3,57088:70.,:808

,:80, '4293 $40/0,797,90 507903843 0.70,80/0;041.438.4:83088

,;0734:8$3:8%742-488

3.,;0734:883:89742-48890013/38,70


7/19

!7459488 02488 59,2450, '8:,4882,/0;0458

3 ,//943 94 58., 0,2 13/38 % ,3/ # ,70 300/0/ '034:8

034702039 41 90 8:50747 459,2. ;03 3 .,;0734:8 83:8 9742-488 8 ,3 25479,39

/,3489.13/332489.,808,/,34884183:89742-488.,3-02,/04390-,88%

13/38491472,9439390.,;0734:883:8,550,78,82:95013/010.9843

7084:943%902,479419013/38,70800343.4397,8903,3.0/%90570803.041

80588 84:/ 05 14.:8 90 /1107039, /,3488$ ,:70:8 8 90 2489 .42243 3;4;0/

47,3823.,;0734:883:89742-488

7,3,-8.088/:094 17439,83:8982489.42243/07;017428059.02-4

9,9 97,;0 94 90 17439, 4-0 ;, 709747,/0 ;034:8 .422:3.,943 %070 -0 30.7488

6:01,.9438:774:3/390310.90/;0398:774:3/30/02,

SZSYWWZ`

/29944859, 7084:943%8.,3 :2-,75:3.9:701343.70,80/397,.7,3,57088:70 39-49.89,9.7488-44/-7,3-,7707 7,3,041,110.90/17439,83:8;,97053,943 438/07397,3,8,17439,83:84942 #01079430:748:707190708397,.7,3,,-8.088 43947.3.,,3/7,/47,5.2574;02039

^[YZ[__

9 ,;,,-9 41 ,39-49. 907,5 3./03.0 41 397,.7,3, .425.,943 ,8 /0.70,80/

0,38:7.,3907;03943,884394.4770,9093.70,80/439072247-/97,3

,-8.088,;070,9072479,97,9089,3203398,3/8:7;;4781706:0398:11071742;,7,-0

.439;0/01.984714.,.7,3,30:745,908


8/19

_`W[W`_[\US`[Z

/408.039 2,089 ,.:90 17439, 83:898 ,70 ,9 5,79.:,7 78 147 80;070 574-028 30

25479,39.425.,9438310.9434190-4308489042098419014700,/38:..,80890 5,9039 :8:, 050703.08 0,/,.0 10;07 ,3/ , 8419 803 4;07 90 -430 343 ,8

!49985:119:247

[``_aXXa[^

S`[YWZW__

310.943 1742 9017439,83:82,5747088-043/90.4313084183:8-/70.90903943

17424.,489098474890420987088;0310.943419017439,83:82:.48,.,33;,/0

/70.9 94 :3/073 -430 0,/8 94 /0;0452039 ,3/ 05,3843 41 5447 ;,8.:,70/ 47

30.749.806:0897,94341-430

ZUS^W_WZ`S`[ZSZVSYZ[_`UbSaS`[Z

789/08.7-0/-$7!07;.,!499 8 /08.7594389 702,38507930394;07

0,78,907

!,9039895.,/4349,;0894741.743.4770.:77039,.:9017439,83:898 !49985:119:247.,37,70.425.,90.743.17439,/80,80 $259428 41 17439, 83:898 .,3 -0 5708039 147 , ;,7,-0 ,24:39 41 920 5747 94

/0;04520394114700,/803

!70;4:8970,920399,39-49.88.422434.,/4:47599314700,/80307,/890570803.0418:507.7,3, ,-8.0881903

831.,39988:00/02,8:774:3/8,3/4;070890,-8.088,3/2,0903/945708059,47-9,

988:0884.,90/82594283.:/0

0,/,.0 0;07 ,8,/7,3,0 7439,83:8903/073088


9/19

397,.7,3, 310.943 .42243 .425.,908 !4998 !:11 %:247 0,/,.0 ,3/ 14700,/

803 2, -0 90 43 57080393 8259428 84 9,9 7,/44 0;,:,943 41 90 -7,3 8

2,3/,947

SZSYWWZ`74,/ 850.97:2,39-49.82:89 -0 3899:90/ :543/,3488,3/84:/ 3.:/0 .4;07,0 41

2.74,0745. 8970594.4..:8 850.088:7.,970,920393.:/08/7,3,0419017439,83:8

,3/ 8:- 5074890, ,-8.088 ,8 0 ,8 30:748:7., 3907;03943 147 ,3 397,.7,3,

.425.,9438

S_W

%8 9003,0 -4 ,/ 7,70 .425.,9438 41 83:898 0903843 41 90 310.943 94 1472,3

,-8.088 3 8 14700,/ !4998 !:11 %:247 ,3/ 397,.7,3, 0903843 94 1472 , -7,3

,-8.088

4:.,3800174290549443900199,9814700,/448008/3,41-,%8

,-8.088 8 ;07 903/07 0 7,5/ /0;0450/ 2039, 89,9:8 .,308 0 ,8 779,-0 ,3/

09,7.,3/,3020703.#70;0,0/9,990310.94339014700,/,/074/0/974:

90-4304190,3907478:941472,-7,3,-8.088

%84:32,3 706:70/020703.8:70794 /7,3-49 8 14700,/,-8.088 ,3/ 8 -7,3

,-8.088,80,894 7024;0,4190 310.90/ 988:024895458938 83:8089,9

.,:80/90574-0239017895,.0070.4;070/1:

ffn

%99@

nnf ffnfffn


10/19

$:22,7

3 41 9080 310.9438 203398 -7,3 ,-8.088 9742-488 -44/ .49 .,3 -0 10

970,9033 %0 706:70 :7039 ,3/ ,7088;0 970,92039 03 9080 .425.,9438 ,70

8:850.90/ ,3 # 8 :8:, 4-9,30/ 84209208 3 ,//943 94 , % 8.,3 %080 5,90398

706:704859,,94395488-0.438:9,943412:950850.,8983.:/330:748:7043

459,24489 494,734489 % ,3/ 310.94:8 /80,80 050798 ,3 706:70

:70398:7073430983:89840-98.,33244/472039,,-9088://03

,3/80;070 779,-9 09,747/11.:9850,3,3472,3,31302494788

2:89-00;,:,90/-,58.,3#94


11/19

^T`S[\US`[Z_

924/83:808,705708039,9-79%:85,9039841,3,02,-08:-0.941.425.,9438

%00924/83:80819085,.0-09003900084.09847-98,3/902,,783:8083 90 -43084190 .008 147290 14478419047-98%08083:808,70805,7,90/174290

47-98-43 ,93 ,0741-4301 310.943 1742 83:8983 908083:8085,8808 974:

9080-430847-9,,-8.08847310.94347-9,.0:9839047-9.,3708:93-3/3088

7-9, .0:98 8 80.43/,794 0924/83:898 3 41.,808 ,55742,90 41 90

5,9039857080393947-9,.425.,94384183:89839050/,97.74:5

S__XUS`[Z[X^T`S[\US`[Z_

,881.,943415,9039 394 1;074:58-,80/43,3,942 3;4;0/507.0;0/57470884341

310.9437085438;0308894970,92039,3/0307,5743488/0,..0590/8.02,5745480/

-,3/07

:70,3/07.,881.,94388902814747-9,.425.,943

^[a\

#057080398803419000/8,390747 94 9047-9,8059:2 .,:80/ - 31,22,943

%8.43/943/408393;4;054898059,897:.9:708097,4.:,72:8.024;0203929,9438

,3/;84325,7203984:/-0,-8039

^[a\

#08:90/ 3 57434:3.0/ 0/02, ,3/ 31,22,9434190 47-9, 8419 988:0'034:8.4393:9

,489027,94341-,.907,3949047-9,3/00/8%070,708384157459488,3/

/0.70,80/ 097,4.:,72499 ,8 .438/070/ 70,-0 834147-9, 8419 988:0 3;4;02039


12/19

nfnfn

02488 8 ,2489 ,,8 5708039 1 90

310.943854890747949047-9,8059:247-9,.0:98

4..:78

^[a\$:-5074890,,-8.088/0;04583,70,-0900350747-9,

,3/-430%047-9,.4390398,70/85,.0/-8:-5074890,5:802488,3/57459488

,7070,-5708039-:9/0.70,80/4.:,72499,3/;8434882,9,0842092094/0;045

,3/349,,8/0;045

^[a\

40.943 41 5:7:039 30.749. 2,907, 93 90 47-9, 988:0 ,8 708:9 41 , 5747088;0

47-9,.0:9847 1742 907:59:7041, 8:-5074890,,-8.088 $0;07057459488,3/30,7.425090459,2450,,703490/,3/;8:,48883.70,83.42243

^[a\

%742-488 41 90 .,;0734:8 83:8 4..:7803 47-9, 9742-450-98 8570,/8 /89, ;,

;0389,9/7,39047-939490.,;0734:883:8,;0734:883:89742-4882,3.:/08:.

343850.1.838,3/8259428,810;070,/,.050747-9,0/02,,3/549454-,942470

850.1. 13/38 41 57459488 02488 459,2450, /0.70,80/ ;8:, ,.:9 40;07

/0;045203941-34.:,78259428890.,88.13/3398.43/943


13/19

@nfff

fnf

ffn%f%fnff fff

ffnnnfnn%fn%f

n%ffn%ffn%nf

SYZ[_`U

%8.,38,3/47-9,:97,84:3/,70902489:801:9448.:77039,;,,-094,/3/,3488

4147-9, ,-8.088 1 %3495488-0 :97,84:3/ .,3 /893:8 -0900347-9, ,-8.088,3/

47-9,.0:98$.,384:/-04-9,30/-4990,,,3/.4743,5,30940;,:,90-49-430

,3/8419988:0

%0570803.04147-9,,-8.08888:0890/43%8.,3-

,4/03892,880110.9,3,71:/0;0932,888

;07 850.1. 147 ,3 ,-8.088 ,907, /85,.02039 41

20/, 70.9:8 2:8.0 9 ,884.,90/ 0/02, 8 ,3

3/.,943418:-5074890,31,22,943-:9.,3-043

-0 /03910/9 .079,39 - ;07;07 4 /0389 47

,8 ,/,.039 94 90 ,23, 5,57,.0, ,3/ 0;/03.0

/85,.020394150748903:2,,1742,23,5,57,.0,


14/19

3 0307, ,% 8.,3 8 70.42203/0/ 1 90 5,9039 848 34 83 41.3., 2574;02039

934:784139,943,39-49.8

# 41 90 47-9 8 0.0039 147 /030,93 47-9, ,-8.088 03 1,9 8,9:7,943 8 :80/ 94

/0.70,8090 83, 174247-9, 1,9:9:70841310.90/2,907, 84:/ -0 4-9,30/ 94/70.9

,557457,90 ,39-49. 907,5 44/ .:9:70 5489;0 3 ./703 7 41 ,0 -:9 349

051: 34/07./703,3/,/:9:/,857,90/478,--0/17429083419000/,8

-003:370,-03/09072339047,382%0:8041:2-,75:3.9:70944-9,3.070-74853,

1:/ 147.:9:70 35,903989 50747-9, .0:98 8349,77,390/!:7:0392,907, 9,03

/70.9 1742 90 ,-8.088 0/8 90 2489 ,..:7,90 708:98-:9 .,3 -0 30,9;0 /:0 94 5,79,

970,9203941,39-49.8

S_W

%05494-04848,0,74/-49,70.039894741,.4/,;7,07

905,894:78879008/744530.425,3841/4:-0;84330,2800/408

34924;00,88002894-0443/43,84:29/090.93985494

%8.,341883:80870;0,8,82,,-8.088:8938/08790084.0947,30,774

%8.,:80831,22,943,3/.425708843414304190002:8.0820/,70.9:89,924;08

9000/,80/47,3030%841903706:7088:70794.:70

nn%

f@nff

fn


15/19

S_W

%05494-0481742,0,74/79,3/039.,89470700,.9:,4484780

970/3088,3/803849,980.,33490,845030701900

%8.,3410783:80884889:113900924/83:808309940701900-:99070834

,-8.088 $0 ,8 50747-9, .0:98 47 310.943 41 90 988:08 ,74:3/ 90 00 %8

2574;0/9397,;034:8,39-49.8348:707

44/4934907/,307,94:7,7017420924/4717439,83:898,70-44/.4981,

-44/.491472839083:8,70,,74:3/9017439,3/94541901,.08259428,7082,794

47-9, 310.9433 ,//943 905:5 2, -010/,3//,90/94:8259428:8:,

-03434308/041900,/90574.088:8:,8570,/894-498/08

S_W

1107039 5,9039 %0 # 843 43 90 79 848 , 10970,9033 .425.,943 41

83:898 %8.425.,9438 ,84,78147-3/30889 848,3#1742, 9003,07

980;07083:898%0.425.,9438.49934190;038410701900,3/.499341,

,70;034:8,70,38/0908:90.,;0734:883:847,30,7748

$0,84859,0/147397,;034:8,39-49.814780;07083:898,3/4998 0380-0,3

94 .425,3 41 ;843 .,308 98#,8 4-9,30/ '8:, 90893 70;0,0/ 9,9 80,8

483908930701900

nf9f

ff

n


16/19

@f nIf

f@

$0 ,8 9,03 94 020703. 8:707 147 83:8

8:707 2489 94 /0.4257088 07 019 47-9 94

700;057088:70430700,3/459.307;0

94: 80 ,/ , ;07 /11.:9 4859,,943

,3/ 706:70/ 80;07, 8:70708 ,3/ 439072

,39-49.8 ,3/ ,39.4993 20/.,9438 80

70.4;070/ 1: 07 ;843 8 50710.9 ,3/

:3.,30/ 8/0 ,1907 0,;3 90 4859, 80

-74:9 20 :.0-077 9:734;078 9,9 80 ,/

-,0/ 078010;07920 80 8,20 3 .3. 147

0,78( 07 8947 8 /08.7-0/ 3 90 1789 4:73,5,507890/3#084:7.08-04

$:22,7

%080 5,90398 :8:, 706:70 4859,,943 9 .438:9,943 41 459,24489

494,734489 30:748:7043 ,3/ 310.94:8 /80,80 050798 ,3 706:70 :7039

8:707

3430983:8984050703.08.,303;843/4:-0;843-:77341;843

/11.:980033,3,47-:34143047-490082:89-00;,:,90/-,58.,3

#94


17/19

`W^_[\US`[Z_

^[Z`S^T`S`[VaU[UWW_

!,7,3,8, 2:.4.008 ,70 84 05,3/3 .89. 08438 9 580:/4897,910/ .4:23,7

0590:23908099341,-,.74:3/41.743.31,22,94310/938588,90/2:.:8

0079357088:7043903472,-4:3/,708419083:8/:094904-897:.9434183:8489:2

%02:.4.008,70:8:,10/9.0,7940489.2:.4/80.709438

S`[\_[[Y

9 8 0307, 94:9 9,9 1443 4-897:.943 41 90 17439, 70.088 , 8:-806:039 310.943

93 90 17439, 83:8 .,;9.4393:0/ 892:,94341 254.908 ,3/2434.908 0,/894

574/:.943 .94308 - 90 33 1-74-,89%080 .943085742490 -430 7024/03 ,3/

708:9305,384341902:.4.00

%070,7080;07,.422430944084157,3,8,83:82:.4.008

743.73483:898 !70;4:883:88:707 0708 %:2478 /45,9.

:9:70 41 90 ,857,90/ 2:.4.00 .4390398 .,3 .43172 90 570803.0 41 310.943 41

$9,54.4..:8,:70:8,0245:8850.0809.

^W_WZ`S`[ZSZVSYZ[_`U

:.4.0041903.425708808 9047-9,3/2,5708039 39,947-9,82594288:. ,8

5,357459488/545,,3/0459,248

;,:,9438-089.,770/4:9-%8.,3339#,3/3,8,03/48.45,8,/:3.98%0

03/48.45.,5574,. 85,79.:,7:801:03,309038;017439,2:.4.00 ,8074/0/90

5489074717439,83:8,


18/19

[\_

743. 31,22,943 174283:898 .,3 -0,884.,90/983:8 ,3/ 3,8,5458%080,70

,-3472,8038 41 90 33!458.,3 .,:80 3,8,4-897:.9432,3 3,8, -70,93

/11.:94725488-0!458.,3,84-4.9083:8450338.,:834780334183:898

743.749415458.,35:8-4304:9415,.0,3/.,:80/894794341903,8,57410

4 90 3480 448 1742 90 4:98/0 -897:.943 1742 5458 .,3 ,84.,:80 488 41 820

3, 70.:77039,3/.743.83:898.,3.,:805072,3039 48841820/:094 3:741 90

41,.947307;08/7039.89.1-7488,70,93.70,80/781478343,8,5458


19/19

[^_`WV

ffJff @f,f

9nn+,f

,ff-,fff@ffJ, ,ff,f

nnff,nffn-%n

fnffnfnf,

ff@f-f ffnf

9ffnJfJ-

,nfnfffff

@f@f-ff9

nnff nnffn,nffffn- @,fI

ff@9ffnfn

fn

f, nffffffn

-f@ nfff@,ff

,f9,JI nffffn

9nf,fffnf

Jfnff

Documents

SP, Complication of Chronic Sinusitis Infection